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CITY OF ORONO PERMIT NO.: 2009-00235 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 05/15/2009 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2740 WHITE OAK CIR <br /> PIN : 04-117-23-42-0019 <br /> LEGAL DESC : REG.LAND SURVEY NO. 1447 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GAS LINE ONLY <br /> NOTE: GAS LINE-MOVE COOKTOP GAS AND CONNECT TO NEW COOKTOP <br /> APPLICANT MECHANICAL(<$500) 15.00 <br /> WELTER&BAYLOCK INC. STATE SURCHARGE MECH(<$500) 0.50 <br /> 2014 4TH AVE. SW#3 TOTAL 15.50 <br /> NEW PRAGUE,MN 56071 <br /> (952)882-8681 <br /> Minnesota State License#: 003744PM <br /> OWNER <br /> BERRELL,ROBERT&KAREN <br /> 2740 WHITE OAK CIR <br /> LONG LAKE,MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in confo - i� the State Building Code.This permit may be <br /> revo 's at an ti fo . e. <br /> Is/k. 05"; .2 _ <br /> App 'cant P- -e ignature Date Issued By ' nature / Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED i, E. <br />